Individual
DIANA HAMERL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
77 N FISHER PARK WAY, EAGLE, ID 83616-4796
(208) 297-3039
Mailing address
19580 SCOUT LN, SAINT ONGE, SD 57779-7913
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
09/09/2024
Last updated
09/09/2024
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